<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <meta content="width=device-width,initial-scale=1,maximum-scale=1,user-scalable=no" name="viewport">
    <link rel="stylesheet" href="<?=G_SITE_BASE?>/resources/zyxh/css/common.css"/>
    <link rel="stylesheet" href="<?=G_SITE_BASE?>/resources/zyxh/css/cart.css"/>
    <link rel="stylesheet" href="<?=G_SITE_BASE?>/resources/zyxh/css/mobiscroll.custom-2.5.0.min.css"/>
    <script src="<?=G_SITE_CDN?>/resources/zyxh/js/jquery-1.12.1.min.js"></script>
    <script type="text/javascript" src="<?=G_SITE_BASE?>/app/js/common.js"></script>
    <script type="text/javascript" src="<?=G_SITE_BASE?>/resources/zyxh/js/mobiscroll.custom-2.5.0.min.js"></script>
    <script src="//res.wx.qq.com/open/js/jweixin-1.0.0.js"></script>
    <title>填写订单</title>
</head>
<body>
<h1>宝宝资料</h1>
<ul>
    <li><input type="text" name="babyName" value="<?=$doOrder->get_babyName();?>" placeholder="宝宝姓名"/></li>
    <li class="last"><input id="scroller" name="scroller" type="text" name="birthday" value="<?=$doOrder->get_birthday();?>" placeholder="出生日期"/></li>
</ul>
<h1>家长资料</h1>
<ul>
    <li><input type="text" name="name" value="<?=$doOrder->get_name();?>" placeholder="您的姓名"/></li>
    <li class="sex">
        <label for="">
            <span class="btn active">男</span>
            <input type="radio" name="sex" value="1" class="sexb" <?= $doOrder->get_sex()==1 ? 'checked' : '';?>  />
        </label>
        <label for="">
            <span class="btn">女</span>
            <input name="sex" type="radio" value="0" class="sexg" <?= $doOrder->get_sex()==0 ? 'checked' : '';?> />
        </label>
    </li>
    <li><input type="text" name="identityCardNum" value="<?=$doOrder->get_identityCardNum();?>" placeholder="身份证号码"/></li>
    <li class="last"><input type="text" name="email" value="<?=$doOrder->get_email();?>" placeholder="电子邮件"/></li>
</ul>
<h1>收货信息</h1>
<ul>
    <li class="yzcode"><input type="number" name="phone" value="<?=$doOrder->get_phone();?>" placeholder="联系电话"/><span class="send">发送验证码</span><i class="reset1">在<span class="num">60</span>s后重新发送</i></li>
    <li><input type="number" name="phone_checkCode" placeholder="4位短信验证码"/></li>
    <li><input type="text" name="address" value="<?=$doOrder->get_address();?>" placeholder="邮寄地址"/></li>
    <li class="last"><input type="text" name="receiptName" value="<?=$doOrder->get_receiptName();?>" placeholder="发票抬头(选填)"/></li>
</ul>
<input type="hidden" name="birth" value="<?=$doOrder->get_birthday()?>">
<input type="hidden" name="orderId" value="<?=$orderId?>">
<input type="hidden" name="shareId" value="<?=$shareId?>">
<p>本次订单需支付:￥<span><?=self::PRODUCT_PRICE?></span></p>
<div class="subbtn" id="pay">确认并支付</div>
</body>
</html>

